Patient Access Representative

Med-Metrix; Wilmington (DE); Hybrid; USD 38,000 - 55,000; Full time

Job summary

Med-Metrix is seeking a Patient Access Representative to register patients, collect accurate demographic and insurance information, and coordinate with social services for Medicaid options.

The role requires strong communication, data entry accuracy, and strict adherence to HIPAA and security policies in a healthcare setting.

Qualifications

• High School Diploma or Equivalent required.
• Min 1 year experience in Healthcare environment preferred.
• Proficiency in Microsoft Office Suite.
• Strong interpersonal skills, ability to communicate well at all levels of the organization.
• Strong problem solving and creative skills and the ability to exercise sound judgment.
• High level of integrity and dependability with a strong sense of urgency and results oriented.
• Excellent written and verbal communication skills required.

Responsibilities

• Monitor the waiting area and address complaints/concerns expressed by patients, family members or visitors.
• Notify appropriate personnel of complaints/concerns that require their attention, while proving interim solutions when necessary.
• Obtain accurate information from patients for registration, including name, address, phone, insurance, employment and signatures.
• Enter essential information into the computer and attach insurance cards to the chart; ensure charts are signed for consent.
• Refer patients to social worker or Financial Assistance for Medicaid applications.
• Provide assistance to hospital staff as needed.
• Other duties as assigned.
• Comply with HIPAA standards and protect PHI at all times.
• Follow Information Security policies and procedures.

Skills

Interpersonal skills

Verbal communication

Written communication

Microsoft Office

Education

High School Diploma or equivalent

Job description

Job Purpose

The Patient Access Representative is responsible for addressing public needs and managing the dissemination of resources to meet patient needs. The Patient Access Representative is also responsible for registering patients who need medical attention, maintaining medical records, receiving incoming calls and processing paperwork.

Duties & Responsibilities

• Monitor the waiting area and address any complaints/concerns expressed by patients, family members or visitors
• Notify appropriate personnel of complaints/concerns that require their attention, while proving interim solutions when necessary
• Obtain accurate information from patients for registration, which includes correct name and address, phone number, insurance information, employment and signatures needed for processing.
• Enter all essential information into the computer and ensure identification and insurance cards are photocopied and attached to the chart and ensure charts are signed for consent and initialed for correct address
• Assist patients with general information such as fees and resource personnel by referring them to the social worker and/or Financial Assistance for application for Medicaid
• Provide assistance to hospital staff as needed
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High School Diploma or Equivalent required
• Min 1 year experience in Healthcare environment preferred
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds).
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment:Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.